Individual
MISS KAYLEE ELIZABETH DE FALKENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
6848 MAGNOLIA AVE STE 200, RIVERSIDE, CA 92506-2898
(951) 779-1966
Mailing address
3578 MUSTANG DR, ONTARIO, CA 91761-9198
(909) 643-6709
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
4972
CA
Other
Enumeration date
08/03/2018
Last updated
08/03/2018
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